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爱尔兰全科医生诊断深色皮肤患者皮肤病的准确性和信心。

Accuracy and confidence of Irish general practitioners in diagnosing skin disease in patients with darkly pigmented skin.

作者信息

Rey Rachel, Duggan Eileen, O'Connor Cathal

机构信息

Medicine University College Cork Cork Ireland.

Dermatology South Infirmary Victoria University Hospital Cork Ireland.

出版信息

Skin Health Dis. 2024 Oct 21;4(6):e465. doi: 10.1002/ski2.465. eCollection 2024 Dec.

DOI:10.1002/ski2.465
PMID:39624751
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11608903/
Abstract

Managing skin conditions in patients with darkly pigmented skin (DPS) can be challenging due to inadequate exposure to dermatology in DPS in clinical training. In this study, Irish GPs were less likely to correctly diagnose common skin conditions in patients with DPS ( < 0.001) and had lower confidence levels in diagnosis in DPS ( < 0.001). Lower diagnostic accuracy and confidence with common skin conditions in DPS in primary care may lead to misdiagnosis, suboptimal treatment and increased referrals to dermatology.

摘要

由于临床培训中对深色素沉着皮肤（DPS）患者的皮肤病学接触不足，管理这类患者的皮肤状况可能具有挑战性。在本研究中，爱尔兰全科医生正确诊断DPS患者常见皮肤状况的可能性较小（<0.001），且对DPS诊断的信心水平较低（<0.001）。初级保健中对DPS患者常见皮肤状况的诊断准确性和信心较低，可能会导致误诊、治疗不充分以及转介至皮肤科的人数增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba53/11608903/d3bead646c51/SKI2-4-e465-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba53/11608903/b8a9f2429239/SKI2-4-e465-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba53/11608903/d3bead646c51/SKI2-4-e465-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba53/11608903/b8a9f2429239/SKI2-4-e465-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba53/11608903/d3bead646c51/SKI2-4-e465-g001.jpg

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本文引用的文献

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Deep learning-aided decision support for diagnosis of skin disease across skin tones.深度学习辅助肤色相关皮肤病诊断的决策支持。
Nat Med. 2024 Feb;30(2):573-583. doi: 10.1038/s41591-023-02728-3. Epub 2024 Feb 5.
2
Confidence of Irish dermatologists in caring for patients with skin of colour.爱尔兰皮肤科医生对有色人种患者护理的信心。
Clin Exp Dermatol. 2022 Jan;47(1):169-171. doi: 10.1111/ced.14897. Epub 2021 Sep 2.
3
Racial Disparities in Patients with Melanoma: A Multivariate Survival Analysis.黑色素瘤患者的种族差异：多变量生存分析
Clin Cosmet Investig Dermatol. 2021 May 24;14:547-550. doi: 10.2147/CCID.S311694. eCollection 2021.
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Advocating for Black Lives-A Call to Dermatologists to Dismantle Institutionalized Racism and Address Racial Health Inequities.为黑人的生命发声——呼吁皮肤科医生消除制度化种族主义并解决种族健康不平等问题。
JAMA Dermatol. 2021 Feb 1;157(2):155-156. doi: 10.1001/jamadermatol.2020.4392.
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The content and conduct of GP consultations for dermatology problems: a cross-sectional study.全科医生皮肤科就诊内容和行为：一项横断面研究。
Br J Gen Pract. 2020 Oct 1;70(699):e723-e730. doi: 10.3399/bjgp20X712577. Print 2020 Oct.
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Australian dermatologists' perspective on skin of colour: Results of a national survey.澳大利亚皮肤科医生对有色人种皮肤的看法：一项全国性调查的结果
Australas J Dermatol. 2018 Feb;59(1):e23-e30. doi: 10.1111/ajd.12556. Epub 2016 Dec 9.